Organization
LUDA CHICA LLC
Active
Other names
A.B. HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
NIA STALLWORTH LPN (CEO)
(215) 833-5577
Entity
Organization
Contact information
Practice address
7178 N UBER STREET, PHILADELPHIA, PA 19138-1913
(215) 833-5577
(215) 833-5577
Mailing address
429 CADWALADER AVE, ELKINS PARK, PA 19027-1622
(215) 833-5577
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN280137
PA
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
PN280137
PA
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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